Organization
BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC
Active
Other names
Choctaw County Medical Center Senior Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY SHOEMAKER (ADMINISTRATOR)
(662) 285-6235
Entity
Organization
Contact information
Practice address
311 E CHERRY ST, ACKERMAN, MS 39735-9795
(662) 285-6235
(662) 285-2516
Mailing address
PO BOX 1039, ACKERMAN, MS 39735-1039
(662) 285-6235
(662) 285-2516
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02032374
—
MS
Enumeration date
01/19/2007
Last updated
07/09/2008
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